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The Role of Transcranial Doppler in Cerebral Vasospasm: A Literature Review

  • Sayesha Sharma
  • Reggie Jayson Lubrica
  • Minwoo Song
  • Rashmi Vandse
  • Warren Boling
  • Promod PillaiEmail author
Chapter
Part of the Acta Neurochirurgica Supplement book series (NEUROCHIRURGICA, volume 127)

Abstract

Transcranial Doppler ultrasonography (TCD) is a noninvasive technique used to detect vasospasms following a subarachnoid hemorrhage. While the gold standard to evaluate vasospasms is angiography, this technique is invasive and poses additional risks as compared to TCD. TCD is performed by insonating circle of Willis arteries to measure cerebral flow velocity. TCD allows dynamic monitoring of CBF-V and vessel pulsatility, with a high temporal resolution. It is relatively inexpensive, repeatable, and portable; however, the performance of TCD is highly operator dependent and can be difficult, especially with inadequate acoustic windows. This review summarizes the use of transcranial Doppler ultrasonography (TCD) for the assessment of cerebral vasospasm.

Keywords

Transcranial Doppler ultrasonography Cerebral vasospasm Subarachnoid hemorrhage Angiography Prevention 

Abbreviations

aSAH

Aneurysmal subarachnoid hemorrhage

BA

Basilar artery

CBF

Cerebral blood flow

CT

Computed tomography

CTA

Computed tomography angiography

DCI

Delayed cerebral ischemia

DSA

Digital subtraction angiography

ICA

Internal carotid artery

LR

Lindegaard ratio

MCA

Middle cerebral artery

mFV

Mean flow velocity

MRA

Magnetic resonance angiogram

MRI

Magnetic resonance imaging

SAH

Subarachnoid hemorrhage

SR

Sviri ratio

TCD

Transcranial Doppler ultrasonography

Notes

Conflict of Interest

The authors declare that they have no conflict of interest.

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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Sayesha Sharma
    • 1
  • Reggie Jayson Lubrica
    • 1
  • Minwoo Song
    • 1
  • Rashmi Vandse
    • 1
  • Warren Boling
    • 1
  • Promod Pillai
    • 1
    Email author
  1. 1.Loma Linda UniversityLoma LindaUSA

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